Healthcare Provider Details

I. General information

NPI: 1285684886
Provider Name (Legal Business Name): MEREDITH AUGUST CHEIFETZ MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

714 N BETHLEHEM PIKE SUITE 300
LOWER GWYNEDD PA
19002-2655
US

IV. Provider business mailing address

1429 TREETOP LN
AMBLER PA
19002-4031
US

V. Phone/Fax

Practice location:
  • Phone: 215-283-2833
  • Fax:
Mailing address:
  • Phone: 215-793-0933
  • Fax: 215-793-0933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDN001414
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: